Functional Test Normative Data
540 S. College Ave., Suite 160 University of Delaware
Newark, Delaware 19713 Ph: (302) 831-8893 Fax: (302) 831-4468
Functional Test Normative Data
6 minute walk test
Purpose: Assesses distance walked over 6 minutes as a submaximal test of aerobic capacity/endurance Age matched Norms: 60- 69 yrs: M= 572 m (1876.64 ft) , F= 538 m (1765.1ft) 70-79 yrs: M= 527m (1729 ft), F=471 m (1542.28 ft) 90-89 yrs: M= 417 m (1368.11 ft), F = 392 m (1286.1 ft) MCID COPD: 54 meters (177.17 ft) Geriatrics and Stroke: 50 meters (164.04 ft) SCI: Overall - .10 m/s. Slow - .11 m/s. Fast - N/A Stroke: 34.4 m (112.86 ft) MDC Alzeihmer's disease: 33.47 m (198.81 ft) COPD: MDC= 54 m (177ft) Geriatrics: 58.21 m (190.98 ft) Osteoarthritis: 61.34 m (201.25 ft) Parkinsonism: 82 m (269 ft) SCI: 45.8 m (150ft) or 22% change Stroke: Chronic - 36.6 m (120 ft) or 13% change.
Subacute - 60.98 m (200.01 ft)
FGA
Purpose: Assesses postural stability during various walking tasks Age matched Norms 40-49 years= 28.9/ 50-59 years=28.4 60-69 years=27.1/70-79 years=24.9 80/89 years=20.8 MCID: Vestibular disorders: 8 points MDC: Parkinsons: 0.61, Stroke: 4.2 points Cut-offs: Community dwelling older adults
22/30 : predict falls (Sensitivity 85%, Specificity 86%)
20/30 (unexplained falls in the next 6 months) (Sensitivity 100%, Specificity 76%)
Parkinson's 15/30 (identify fallers in Parkinson's)
9 hole peg test
Purpose: Measure finger dexterity Age matched Norms Healthy adults
o All males 18.99 seconds o All females: 17.67 seconds MS: (Dominant side) 17.81 seconds
(Non-dominant side) 18.49 seconds MCID: Not established MDC: Stroke: 32.8 seconds Parkinson's disease: 2.6 seconds for dominant; 1.3
seconds for non-dominant hand
Berg balance scale
Purpose: Assess static balance and fall risk in adults Age Matched norms? (Age/ M/ F) 60-69 years/ 55 / 55 70-79 years/ 54 / 53 80-89 years / 53/ 50 Normative Data: OA Mean BBS score one week postoperative = 34 (8); 5-7 weeks postoperatively = 50 (6) MCID: not established MDC: Community Dwelling Older Adults - Age (MDC)
0-24 (4.6)/ 25-34 (6.3)/35-44 (4.9)/45-56 (3.3) Institutionalized Older Adults: 8 points Parkinson's: 5 points Acute Stroke:
o Entire Group: 6.9 o Individuals who ambulate with assistance: 8.1 o Individuals with stand-by-assistance: 6.0 o Individuals who ambulate independently: 6.3 Chronic Stroke: 2.5 Cut-Offs: or equal to 2.3 seconds MDC: Healthy adults: 4.2 seconds Stroke: 3.6 seconds Children w/ CP: .06 (Average of three trials) Cut-offs: Community dwelling older adult: > or equal to 12 seconds
requires further assessment for falls risk Parkinson's: > 16 seconds (fallers) Stroke: 12 seconds Vestibular: To identify balance dysfunction
o Entire sample: 13 sec o Younger(< 60 years): 10 sec o Older(> 60 years): 14.2 sec
Property of Delaware PT Clinic May be reproduced, as is, for clinical, educational, and research purposes. This Clinical Guideline may need to be modified to meet the needs of a specific patient. The model should not replace clinical judgment.
540 S. College Ave., Suite 160 University of Delaware
Newark, Delaware 19713 Ph: (302) 831-8893 Fax: (302) 831-4468
4 square step test
Purpose? Test of dynamic balance that clinically assesses the person's ability to step over objects forward, sideways, and backwards Age matched Norms: Acute stroke: 20.8 seconds- 17.5 seconds Older adults/geriatrics: 32.6 seconds (multiple fallers)/
17.6 seconds (non-fallers) Parkinson's: On Drug time: 9.6 secs/ Off Drug time: 11 .02
secs MCID: Not established MDC: Not established Cut off scores (for falls risk) Older adults/Geriatric: > 15 seconds Vestibular: > 12 seconds Transtibial amputations: >24 seconds at risk for falls Acute stroke: failed attempt or > 15 seconds Parkinson's disease: < 9.68 seconds
10MWT (m/s)
Purpose: Assess gait speed over a short duration
Age-matched norms:
Preferred
Age
male
female
20s
1.39
1.41
30s
1.46
1.42
40s
1.46
1.39
50s
1.39
1.40
60s
1.36
1.30
70s
1.33
1.27
Maximal
20s
2.53
2.47
30s
2.45
2.34
40s
2.46
2.12
50s
2.07
2.01
60s
1.93
1.77
70s
2.08
1.74
MCID:
Geriatrics .13m/s
Stroke .14m/s
SCI .06 m/s
TBI: Change is reflected in .15 and .25 m/s increase in
comfortable and fast-faced walking speed respectively
MDC:
Hip Fractures: .17 m/s
Parkinson's Disease: Comfortable Gait Speed: .18 m/s.
Fastest Gait Speed: .25 m/s
SCI: Change of .13 m/s
Cut-off scores:
.8m/s community ambulator
Single leg Stance (seconds)
Purpose: Assess balance on one limb
Age-matched norms:
Age
male
female
EO/EC
EO/EC
18-39
43.2/10.2
43.5/8.5
40-49
40.1/7.3
40.4/7.4
50-59
38.1/4.5
36.0/5.0
60-69
28.7/3.1
25.1/2.5
70-79
18.3/1.9
11.3/2.2
80-99
5.6/1.3
7.4/1.4
MCID: Not established
MDC: Not established
DGI
Purpose: Assess ability to modify balance while walking MCID: Community dwelling elderly 1.9 points MDC: Community dwelling elderly 2.9 points Cut-Offs: Community dwelling elderly 14s
Frail elderly >32.6s
LE amputees >19
Parkinson's > 11.5s
Hip OA >10s
Vestibular disorders >11.1s
Property of Delaware PT Clinic May be reproduced, as is, for clinical, educational, and research purposes. This Clinical Guideline may need to be modified to meet the needs of a specific patient. The model should not replace clinical judgment.
540 S. College Ave., Suite 160 University of Delaware
Newark, Delaware 19713 Ph: (302) 831-8893 Fax: (302) 831-4468
Functional Reach (inches)
Purpose: Assess pts stability with maximal reaching outside
BOS
Age Matched norms? (Age/ M/ F)
Age
Males
Females
20-40 16.7 + 1.9
14.6 + 2.2
41-69 14.9 + 2.2
13.8 + 2.2
70-87 13.2 + 1.6
10.5 + 3.5
MCID: not established
MDC: Diagnosis(MDC)
Parkinson's(9cm)
Stroke(2.67cm)
Likelihood of falling:
If unable to reach, 8x more likely
If reaches< 6", is 4x more likely
If reaches 6--1 0", 2x more likely
If reaches> 10", unlikely to fall
Montreal cognitive Assessment (MOCA)
Purpose: to screen for mild cognitive impairment MCID: Not established MDC: Not established Cut-off scores: Healthy adults >26 Mild Cognitive Impairment 15s Parkinson's >16s Stroke >12s Vestibular Disorders in Elderly (>60) >15s MCID: for vestibular disorders 2.3s MDC: elderly 4.2s, stroke 3.6s
Property of Delaware PT Clinic May be reproduced, as is, for clinical, educational, and research purposes. This Clinical Guideline may need to be modified to meet the needs of a specific patient. The model should not replace clinical judgment.
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